LIVING WATERS PRISONER MINISTERIES – NPI #1235439159
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

LIVING WATERS PRISONER MINISTERIES is a substance abuse rehabilitation facility located in MOUNT AIRY, NC. NPPES has assigned the NPI number 1235439159 to LIVING WATERS PRISONER MINISTERIES on October 26, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LIVING WATERS OUTREACH PROGRAM. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVING WATERS PRISONER MINISTERIES below.

NPI Profile for
LIVING WATERS PRISONER MINISTERIES

NPI Number
1235439159
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVING WATERS PRISONER MINISTERIES
Former Legal Business Name: LIVING WATERS OUTREACH PROGRAM
Primary location
355 GALLOWAY ST
MOUNT AIRY, NC 27030
Phone: (336) 719-2019 Fax: (336) 719-2019
Mailing address
Same as primary location
Organization Subpart
Yes - LIVING WATERS PRISONER MINISTERIES is subpart of another organization.
Authorized Official
TERRY SPEAKS
CASE MANAGER
Phone: (336) 710-2019
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
NC
302F00000X
- Exclusive Provider Organization

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.